Sustainable Environmental Health Program for Adolescents

The Effect of Sustainable Environmental Health Program Planned for High School Students on Environmental Sensitivity, Sustainable Environmental Awareness, Environmental Attitudes and Behaviors: a Randomized Controlled Trial

The research will be conducted to determine the effect of the sustainable environmental health program on environmental sensitivity, sustainable environmental awareness, environmental attitudes and behaviors in high school students. The purpose of this study is to develop and sustain environmental sensitivity, sustainable environmental awareness, environmental attitudes and behaviors in high school students with the Sustainable Environmental Health Program.

Study Overview

• Status: Not yet recruiting
• Conditions: Health Behavior; Environment; Sustainability
• Intervention / Treatment: Behavioral: Sustainable Environmental Health Programs

Detailed Description

Environmental health has direct and indirect impacts on ecosystem balance and human health. Among the consequences of adverse environmental conditions, non-communicable diseases, including ischaemic heart disease, chronic respiratory diseases and cancers, are the most common. Situations such as environmental pollution, climate change, deforestation and loss of biodiversity that negatively affect environmental health are important public health problems. Protection and improvement of environmental health is very important in terms of sustainable development goals.

Many institutions and organisations carry out studies within the scope of sustainable development goals. The basis of the studies carried out in this context is to improve environmental behaviours. The studies carried out in the field of health include public health studies to protect and improve environmental health. In addition, environmental sensitivity, sustainable environmental awareness and environmental attitude are very important in the development and sustainability of environmental behaviours. The development of environmental sensitivity, awareness, attitudes and behaviours in adolescence is important for individual, social and environmental health now and in the future.

Intervention activities carried out to develop environmental awareness, consciousness, attitude and behaviours are interactive interventions such as message content, interaction with nature, education through presentation, cinevision, peer education and puzzle activities.

It is seen that there are cognitive, affective and behavioural changes within the scope of intervention activities. However, when the selected intervention is based on a single teaching method, its effectiveness differs due to the difference in individual perception levels. Combining different intervention activities can eliminate the differences in individual perception levels. The programme prepared by considering different intervention techniques in adolescence is important to develop environmental sensitivity, sustainable environmental awareness and environmental attitude and to ensure the formation of environmental behaviours. For this reason, this study examines the effect of the sustainable environmental health programme on the development of environmental sensitivity, sustainable environmental awareness, environmental attitudes and behaviours in high school students.

• Study Type: Interventional
• Enrollment (Estimated): 98
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. Studying in the 9th grade,
2. Being able to speak and understand Turkish,
3. Parental consent for participation,
4. Volunteering to participate in the research

Exclusion Criteria:

1. Having received previous education on environmental health,
2. Transported education
3. Boarding education and training

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control Group; No Intervention
Experimental: Intervention Group; Sustainable Environmental Health Programs	Behavioral: Sustainable Environmental Health Programs; Sustainable Future: Environment, Ecological Balance and Health,; Ecological Balance and Pollution: Protecting Environmental Health; Ecological Balance and Environmental Health; A New Life for Waste: A Sustainable Future with Recycling; Environmental Behaviors; Recycling for Street Animals: A Shed Construction Project

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Environmental Behavior	Environmental Behavior Scale was originally developed by Ardahan (2022). The scale consists of three sub-dimensions as "Sharing in the Family", "Behavior at Home" and "Sharing at School", and a total of 13 items. The scale is evaluated on a five-point Likert scale, rated as "Strongly agree", "Agree", "Undecided", "Disagree" and "Strongly disagree". The internal validity and variance of the scale; Cronbach's Alpha coefficient was stated as 0.888 and the variance explained by the scale was 66.85%. It was stated that the smallest value that can be taken from the scale is 13 and the largest value is 65.	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Attitude Scale Towards Environmental Problems	The scale developed has a total of 22 items and a four-factor structure. The scale is rated in a five-point Likert type. The factors in the scale are; Negative Affective Component, Cognitive Component, Behavioral Component and Positive Affective Component, respectively. The total Cronbach alpha value of the scale is .88 and the Cronbach alpha values of the factors are .84, .78, .73 and .70, respectively.	3 months
Sustainable environmental awareness	The Sustainable Environmental Awareness Scale was prepared by utilizing the course contents in the education-training curriculum, aiming to reach the information about what students do under certain conditions. The scale is single-dimensional, has a total of 10 items and a 3-point Likert level. In each item in the scale, the desired situation is calculated as three points, the partially desired situation as two points and the undesirable situation as one point. The highest score that can be obtained from the scale is 30 (3x10), the lowest score is 10 (1x10), and the average score of the scale is 20. When the factor loadings of the scale are examined, it is stated that they vary between 0.585 and 0.735 and the total Cronbach alpha value is 0.87. In addition, the scale explains 45.87% of the total variance	3 months
Environmental Sensitivity	The Environmental Awareness Questionnaire consists of 24 questions. In the questionnaire, the scale items were prepared with a three-degree answer feature consisting of "Always", "Sometimes" and "Never" options in order to determine the sensitivity towards air pollution, water pollution, soil pollution, green area problems and population growth and ecological balance. The alpha reliability coefficient of the questionnaire was found to be 0.81 in the original study (α). Factor analysis test was used for the structural validity of the sub-factors and as a result of the factor analysis conducted, it was determined by the developers that all 24 items determined for the trial form were suitable. Evaluation was made by giving a total score between the lowest 24 and the highest 72 points, with those who answered "always" receiving 3 points, those who answered "sometimes" receiving 2 points, and those who answered "never"	3 months

Collaborators and Investigators

• Sponsor: Suleyman Demirel University

Study record dates

Study Major Dates

• Study Start (Estimated): March 2, 2025
• Primary Completion (Estimated): June 20, 2025
• Study Completion (Estimated): June 20, 2025

Study Registration Dates

• First Submitted: February 14, 2025
• First Submitted That Met QC Criteria: March 1, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: March 1, 2025
• Last Verified: March 1, 2025

More Information

Terms related to this study

• Keywords: Adolescent; Environment; Environmental Health
• Other Study ID Numbers: E- 87432956-050.99-755267

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No